| Conway Internists, Llc | |
|
121 Saint Lukes Center Dr Ste 402 Chesterfield MO 63017-3519 | |
| (314) 205-6160 | |
| (314) 590-5918 |
| Full Name | Conway Internists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 Saint Lukes Center Dr Ste 402, Chesterfield, Missouri |
| Authorized Official Name and Position | James Snider (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Internists, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (636) 685-7804 | Conway Internists, Llc 121 Saint Lukes Center Dr Ste 402 Chesterfield MO 63017-3519 Ph: (314) 205-6160 |
| NPI Number | 1992816391 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/06/2021 |
| Medicare PECOS PAC ID | 5294751152 |
|---|---|
| Medicare Enrollment ID | O20051020000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992816391 | NPI | - | NPPES |
| CJ3880 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 108578 (Missouri) | Primary |
| Provider Name | Kevin L Threlkeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703445 PECOS PAC ID: 5395745798 Enrollment ID: I20070109000406 |
| Provider Name | Tina Louise Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356337224 PECOS PAC ID: 6608856935 Enrollment ID: I20110803000786 |
| Provider Name | Daniel M Marion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275875908 PECOS PAC ID: 8729380548 Enrollment ID: I20160719001380 |
Maryland Medical Group Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd, Suite 350n, Chesterfield, MO 63017 Phone: 314-205-6557 | |
Physician Affiliates Of St. Luke's Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saint Lukes Center Dr, Chesterfield, MO 63017 Phone: 314-576-2475 | |
Digestive Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 Phone: 636-685-7795 Fax: 314-590-5959 | |
Wuca Woods Mill Pediatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd, Suite 36w, Chesterfield, MO 63017 Phone: 314-453-9666 | |
Palm Valley Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1095 Nooning Tree Dr, Chesterfield, MO 63017 Phone: 314-800-6980 | |
Diagnostic Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, 410 S, Chesterfield, MO 63017 Phone: 314-878-7220 Fax: 314-878-0047 | |
County Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Suite 370 South, Chesterfield, MO 63017 Phone: 314-628-9994 |